The Relationship Between Country of Origin and Prenatal Care Among Unauthorized Mexican and Guatemalan Immigrants
This study examined how country of origin (Mexico or Guatemala) correlates with prenatal care utilization among unauthorized Latina immigrants, who encounter disparate access to health care. Logistic regression and negative binomial regression analyses were used to examine prenatal care adequacy and number of visits among a sample of 4188 unauthorized Latina immigrants. Findings suggest that originating from Guatemala predicted increased likelihood of inadequate prenatal care and fewer prenatal care visits. Implications can inform policy and practice to strengthen prenatal care utilization, especially for unauthorized Guat...
Source: Family and Community Health - August 24, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Neighborhood Social and Environmental Factors and Asthma Among Children Living in Low-Income Neighborhoods: The Importance of Informal Social Control
We examined the relationship between child asthma and features associated with neighborhood poverty including safety, social cohesion, informal social control, collective efficacy, and disorder, across a sample of children from low-income neighborhoods (N = 3010; 2005-2007). Results show that the relationship between asthma and poverty is accounted for by family-level characteristics, but informal social control remains significantly and positively related to asthma after accounting for family-level characteristics. We discuss the importance of neighborhood environmental features for children's asthma. (Source: Family and Community Health)
Source: Family and Community Health - August 24, 2018 Category: Primary Care Tags: Original Articles Source Type: research
E-Cigarettes in Baltimore Alcohol Outlets: Geographic and Demographic Correlates of Availability
There is limited research on e-cigarette availability despite increased use. E-cigarette availability within Baltimore alcohol outlets was analyzed for disparities among residential neighborhoods. Data were obtained via field surveys of alcohol outlets, and then spatially merged with sociodemographic data; 18.8% of alcohol outlets had any e-cigarette availability. Regression models showed greater odds ratios for e-cigarette availability when cigarettes, cigars, or hookah paraphernalia were sold, and lower odds ratios when alcohol outlets had an on-site consumption license. Outlets with e-cigarette availability were in pred...
Source: Family and Community Health - August 24, 2018 Category: Primary Care Tags: Original Articles Source Type: research
An Exploration of Multilevel Physical Activity Correlates Among Low-Income African Americans in Alabama and Mississippi
This study sought to examine the relationship between meeting the minimum recommendation for moderate physical activity and multilevel, including policy, systems, and environmental, strategies thought to influence health behaviors. We utilize preintervention community survey data from a sample of 256 low-income, predominantly, African Americans in 3 southeastern cities. Results indicate that individual, social, and environmental factors are related to whether participants met the recommended guidelines for physical activity and that sex predicts whether guidelines are met. (Source: Family and Community Health)
Source: Family and Community Health - August 24, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - August 24, 2018 Category: Primary Care Tags: Foreword Source Type: research
Outcomes of Community-Based Prenatal Education Programs for Pregnant Women in Rural Texas
A prenatal, evidenced-based education program was implemented in 7 rural counties and provided by trained staff at the Texas Department of State Health Services. This was implemented to address health disparities, in regard to birth outcomes, in rural minorities of Southeast Texas. The participants were given a preassessment (N = 382) and a postassessment (N = 326) of relevant health knowledge and a follow-up assessment (N = 149) to document the outcomes of their birth as well as health practices they were employing as new parents. The assessment results were analyzed to determine the effectiveness of the programs on impro...
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Estimated Cost Savings: Everyone With Diabetes Counts (EDC) Program
Everyone with Diabetes Counts (EDC) is a national disparities reduction program funded by the Centers for Medicare & Medicaid Services to improve outcomes in the underserved minority, diverse, and rural populations. This analysis evaluates West Virginia's pilot program of diabetes self-management education (DSME), one component of EDC. We frequency-matched 422 DSME completers to 1688 others by demographics and enrollment from Medicare fee-for service claims. We estimated savings associated with reduced hospitalizations in multivariable negative binomial models. DSME completers had 29% fewer hospitalizations (adjusted P (So...
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Development of a Community Health Worker–Delivered Cognitive Behavioral Training Intervention for Individuals With Diabetes and Chronic Pain
We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain. Collaborative intervention refinement, combined with CHW training, is a promising methodology for community-engaged research in remote, underresourced communities. (Source: Family and Community Health)
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Health Self-Empowerment Theory: Predicting Health Behaviors and BMI in Culturally Diverse Adults
This study tests the theoretical integrity of Health Self-Empowerment Theory and its usefulness in predicting health-promoting behaviors and body mass index. Results from surveying 189 predominantly low-income, overweight/obese, and culturally diverse adults showed that most Health Self-Empowerment Theory variables were positively correlated. Structural equation modeling showed that 4 variables significantly predicted engagement in health-promoting behaviors, which mediated the relationships between body mass index and (a) motivation, (b) health self-efficacy, and (c) self-praise. Results support creating psychologically i...
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Health Outcomes of Medically and Economically Vulnerable Adults: A Comparison of Former Foster Youth and Nonfoster Youth
Medically and economically vulnerable adults experience various challenges that can impact their health. Within this vulnerable population, there may be individuals who are even more vulnerable, those who have a history of involvement with the foster care system. The purpose of this study was to evaluate the difference of reported health-related problems between adults with previous foster care experience and other vulnerable adults. Physical, mental, and relational health was evaluated in this study. Practice and policy implications for mental health and medical professionals are discussed. (Source: Family and Community Health)
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
The Role of Family of Origin in Current Lifestyle Choices: A Qualitative Secondary Data Analysis of Interracial and Same-Race Couples
Many Americans are in poor health. This is acute for racial/ethnic minorities compared with the Non-Hispanic white population. A grounded theory approach was used to analyze semistructured qualitative interviews to identify perceptions of family-of-origin lifestyle choices in same-race and interracial couples. Several central themes emerged from the data including influence of family-of-origin eating patterns, lack of family-of-origin importance for physical activity, and romantic partner influence in eating and exercise. Findings provide evidence for the socialization of family of origin on lifestyle choices into adulthoo...
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Childhood Asthma Disparities in Chicago: Developing Approaches to Health Inequities
We conducted a needs assessment to develop an evidence-based, locally tailored asthma care implementation plan for high-risk children with asthma in Chicago. Our team of health policy experts, clinicians, researchers, and designers included extensive stakeholder engagement (N = 162) in a mixed-methods community needs assessment. Results showed the lines of communication and collaboration across sectors were weak; caregivers were the only consistent force and could not always manage this burden. A series of recommendations for interventions and how to implement and measure them were generated. Cooperative, multidisciplinary...
Source: Family and Community Health - May 18, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Health and Health Care From the Perspective of Intimate Partner Violence Adult Female Victims in Shelters: Impact of IPV, Unmet Needs, Barriers, Experiences, and Preferences
This study reports the perspectives of adult female IPV victims about the impact of IPV on their health and barriers of health care access for themselves and their children. The majority rated their health as good to excellent (69%). However, 83.5% indicated that IPV negatively affected their health; 53.5% had unmet health care needs. Mental health care was the most common unmet need for women; children's unmet needs were immunizations and preventive care. Transportation difficulties posed the biggest barrier to health care access. (Source: Family and Community Health)
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Parenting Stress in Fathers of Children With Type 1 Diabetes
The purpose of the present study was to evaluate generic and pediatric parenting stress in an international sample of fathers of children with type 1 diabetes. Two-hundred forty-nine fathers of children ages 2 to 10 years with type 1 diabetes completed the Parenting Stress Index, Pediatric Inventory for Parents, Dads' Active Disease Support Scale (DADS), Self-Care Inventory, and a demographic/disease-related questionnaire online. More frequency of pediatric parenting stress was associated with greater general parenting stress (r = −0.25, P (Source: Family and Community Health)
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
The Relationship Between Expressed Emotion and the Probability of Suicide Among Turkish Psychiatric Outpatients: A Descriptive Cross-sectional Survey
The purpose of this study is to examine expressed emotion and the relationship between expressed emotion and suicide probability in psychiatric outpatients (N = 350). Patients who did not receive support from anyone scored higher on the Level of Expressed Emotion (LEE) Scale than those who were supported by family, friends, or their physician provider. Scores by patients, who selected their spouse as a key person, scored higher on the LEE than those who chose one of their children. Spouses on the LEE were often depicted as being more intrusive, reactive, and intolerant when compared with their children. The probability of ...
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
